non operative treatment

1. Tibial shaft fracture
Non operative management with cast

2. Indications
1. Closed, low energy fractures with acceptable alignment
1. <5° varus-valgus angulation
2. <10° anterior/posterior angulation
3. >50% cortical apposition
4. <1 cm shortening
5. <10° rotational malalignment
2. Non ambulatory patients
3. Patient unfit for surgery

4. <5° varus-valgus angulation
<10° anterior/posterior
angulation